Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6608068994 · 9 matching records

Enrollment id
O20151120002749
Associate id
5395045405
Organization name
FAIRHAVEN OPCO, LLC
Associate id - owner
6608068994
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-02-01
First name - owner
GREGORY
Middle name - owner
J
Last name - owner
MITCHELL
Title - owner
CFO
Percentage ownership
0
Enrollment id
O20151120002749
Associate id
5395045405
Organization name
FAIRHAVEN OPCO, LLC
Associate id - owner
6608068994
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-02-01
First name - owner
GREGORY
Middle name - owner
J
Last name - owner
MITCHELL
Enrollment id
O20151120002749
Associate id
5395045405
Organization name
FAIRHAVEN OPCO, LLC
Associate id - owner
6608068994
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-02-01
First name - owner
GREGORY
Middle name - owner
J
Last name - owner
MITCHELL
Enrollment id
O20170831002141
Associate id
2062785793
Organization name
IRONTON OPCO INC
Associate id - owner
6608068994
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-02-01
First name - owner
GREGORY
Middle name - owner
J
Last name - owner
MITCHELL
Title - owner
CFO
Enrollment id
O20170831002141
Associate id
2062785793
Organization name
IRONTON OPCO INC
Associate id - owner
6608068994
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-02-01
First name - owner
GREGORY
Middle name - owner
J
Last name - owner
MITCHELL
Enrollment id
O20170831002141
Associate id
2062785793
Organization name
IRONTON OPCO INC
Associate id - owner
6608068994
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-02-01
First name - owner
GREGORY
Middle name - owner
J
Last name - owner
MITCHELL
Enrollment id
O20201103002052
Associate id
2769892793
Organization name
PROVIDENCE POINT HEALTHCARE INC
Associate id - owner
6608068994
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-02-01
First name - owner
GREGORY
Middle name - owner
J
Last name - owner
MITCHELL
Enrollment id
O20201103002052
Associate id
2769892793
Organization name
PROVIDENCE POINT HEALTHCARE INC
Associate id - owner
6608068994
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-02-01
First name - owner
GREGORY
Middle name - owner
J
Last name - owner
MITCHELL
Enrollment id
O20241209003557
Associate id
2163958570
Organization name
MAPLE GROVE SENIOR LIVING LLC
Associate id - owner
6608068994
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-09-01
First name - owner
GREGORY
Middle name - owner
J
Last name - owner
MITCHELL
Title - owner
CFO

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